Dr Sandeep Vaishya

DR. SANDEEP VAISHYA

MBBS, MS, MCH (Neurosurgery)
Fellowship Sundt & Mayo Clinic, USA
HOD & Executive Director 

Department of Neurosurgery FMRI

Foraminal Stenosis

Foraminal Stenosis

Foraminal Stenosis

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    Frequently Asked Questions :

    1. What is the recovery time after surgery for foraminal stenosis?

    Recovery varies but generally takes 4–6 weeks for minimally invasive surgery. Physical therapy can help speed up recovery.

    In most cases, it does not heal without intervention, though symptoms can sometimes be managed with conservative treatments.

    Surgery is usually recommended if conservative treatments fail to relieve symptoms or if there is significant nerve compression causing severe pain or loss of function.

    Foraminal Stenosis

    About Foraminal Stenosis

    Foraminal stenosis is a medical condition characterized by the narrowing of the foramen, the small openings between the bones of the spine through which nerve roots exit. This narrowing can compress the nerves, leading to pain, numbness, and other neurological symptoms. It is a common condition often associated with aging, but it can also result from injuries or certain degenerative disorders.

    Dr. Sandeep Vaishya, one of India’s leading neurosurgeons, specializes in diagnosing and treating foraminal stenosis with advanced techniques and a patient-centered approach. His expertise ensures effective management and better quality of life for patients suffering from this condition.

    Causes of Foraminal Stenosis

    The primary causes of foraminal stenosis include:

    1. Degenerative Disc Disease: Age-related wear and tear of spinal discs leading to narrowing of the foramina.
    2. Herniated Discs: Discs pushing out of their normal position can press against nerves.
    3. Osteoarthritis: Bone spurs or overgrowth caused by arthritis can lead to foraminal narrowing.
    4. Injuries: Trauma to the spine, such as fractures or dislocations.
    5. Genetic Conditions: In some cases, a narrower spinal canal or foramina is congenital.

    Types of Foraminal Stenosis

    Foraminal stenosis can be classified based on its location and severity:

    1. Cervical Foraminal Stenosis: Affects the neck region and can cause radiating pain in the arms and shoulders.
    2. Thoracic Foraminal Stenosis: Occurs in the mid-back, though less common, and may cause localized or radiating symptoms.
    3. Lumbar Foraminal Stenosis: Affects the lower back and is the most common type, often leading to leg pain and sciatica.

    Symptoms of Foraminal Stenosis

    Symptoms vary depending on the location and severity of the condition but may include:

    • Persistent or radiating pain in the arms, shoulders, back, or legs.
    • Numbness or tingling sensations in the extremities.
    • Muscle weakness or difficulty in controlling limb movements.
    • Reduced reflexes or coordination issues.
    • Severe cases may cause bowel or bladder dysfunction.

    Diagnosis of Foraminal Stenosis

    A thorough diagnosis is essential for effective treatment. Dr. Sandeep Vaishya employs a combination of techniques to ensure accurate results:

    1. Physical Examination: Assessing symptoms, reflexes, and range of motion.
    2. Imaging Tests:
      • MRI (Magnetic Resonance Imaging): Provides detailed images of soft tissues and nerves.
      • CT Scans: Visualizes bone structures to identify narrowing.
      • X-rays: Helps identify alignment and degenerative changes in the spine.
    3. Electrodiagnostic Testing: Evaluates nerve function and detects nerve compression.

    Treatment for Foraminal Stenosis

    Dr. Sandeep Vaishya offers a comprehensive treatment plan tailored to each patient’s needs.

    Non-Surgical Treatments
    1. Medications: Anti-inflammatory drugs, muscle relaxants, or pain relievers.
    2. Physical Therapy: Exercises to strengthen supporting muscles and improve flexibility.
    3. Epidural Injections: Corticosteroid injections to reduce inflammation and pain.

    Cost and Stay in India

    India is a preferred destination for foraminal stenosis treatment due to its world-class medical facilities and affordable costs.

    1. Cost: Treatment costs vary based on the type of procedure but typically range from USD 3,000 to USD 6,000, significantly lower than in Western countries.
    2. Stay:
      • Pre-Treatment: 2–3 days for consultations and diagnostic tests.
      • Post-Treatment: 5–7 days in the hospital and 1–2 weeks for follow-up care.
    3. Facilities: Many hospitals offer international patient services, including translators, accommodation, and visa assistance.
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